In lieu of my credit card imprint, I-----------------------------------------------------------------------------hereby authorize
(Name of cardholder as shown on credit card)
Safar.com, acting on behalf of (Airline Name)-------------------------------------------------to charge my:
Visa, Master Card, American Express ------------------------------------------------------------ -----------------------
(Circle One) (Credit Card Number) (Expiration date)
In the amount of $ -------------------------------------- for payment of transportation of myself and /or
-------------------------------------------------------------------------------------------------------------------------------------------------
(Name (s) of Passenger (s) if other than cardholder.)
For itinerary as follows: ----------------------------------------------------------------------------------------------------------
(Complete Routing)
-------------------------------------------------------------------------(Work) -------------------------------------------------
Note: Identification is required. Please provide Photostat copy of the credit card (Front & Back) and
passport or driver licenses of cardholder.
By signing below, I acknowledge charges described hereon. Payment in full to be made when billed or in
extended payment, in
accordance with standard policy of credit card issuing company, I have been
informed that:
·
3-There will be $30.00
service fee in addition to the airlines penalty of $250.00, per
ticket, if I request a refund.
· 4-$200.00 penalty for any change of reservation.
· 5-After departure non refundable.
--------------------------------------- --------------------------------------------- -----------------------------------
Signature of cardholder Please print card holder name Date